NJ Health and accidental Practice final exam
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Terms in this set (147) Hide definitions
A long-term care policy typically acute care
provides all of the following levels of
care EXCEPT
Skilled care
Intermediate care
Acute care
Custodial care
All of the following are included as changes made by the producer
part of a contract in the entire
contract provision EXCEPT the:
Riders
application
Changes made by the producer
,An insurance company may ONLY Individuals licensed by the state
pay a sales commission to:
Individuals who are residents of this
state for at least 5 years
Individuals who are registered with
the NAIC
Individuals licensed by the state
Individuals who are gainfully
employment by that insurance
company
The law established insurance McCarren-Ferguson Act
transactions should be regulated by
the states is called the
McCarran-Ferguson Act
Mccain-Feingold act
Fair credit Reporting Act
Paul vs Virginia
In a group medical expense health Any other illness, sickness or disease
insurance plan, coverage for
alcoholism is treated as:
,A producer must notify the 30
Commissioner within ___ days of a
felony conviction.
15
30
45
60
The purpose of Medicare Medicare in-hospital deductible
Supplement Insurance is to address
gaps in Medicare coverage, which
can include?
Medicare in hospital deductible
replacing HMO coverage
Covering chiropractic treatment
Treatment provided in a government
hospital
in in New Jersey, health insurance Insurance company's name
advertisements are required to
contain the
Insurance company's trademark
Insurance company's name
Insurance company's AM Best rating
Insurance company's current
standing with the better business
Bureau
, States that have "no loss no gain" Pay for ongoing claims under the policy it replaces
laws require a replacing policy to....
Keep the same type if coverage as
the policy it replaces
Not change a different premium
from the policy if replaces
pay for half of any ongoing claims
under the policy it replaces
Pay for ongoing claims under the
policy it replaces
Which of the following is NOT a change of occupation
required provision in an accident and
health insurance policy?
Legal actions
grace period
Change of occupation
reinstatement
In group health care, what is the Determines what is paid by the primary and
purpose of the coordination of secondary insurers in the event of a claim
benefits provision?
Determines where as insured goes to
receive treatment
Determines what is paid by the
primary and secondary insurers in
the event of a claim
Ensures that a health provider
receives the proper benefit amount
owed
Determines which parent plan covers
a department child
excel solutions
Leave the first rating
Save
Terms in this set (147) Hide definitions
A long-term care policy typically acute care
provides all of the following levels of
care EXCEPT
Skilled care
Intermediate care
Acute care
Custodial care
All of the following are included as changes made by the producer
part of a contract in the entire
contract provision EXCEPT the:
Riders
application
Changes made by the producer
,An insurance company may ONLY Individuals licensed by the state
pay a sales commission to:
Individuals who are residents of this
state for at least 5 years
Individuals who are registered with
the NAIC
Individuals licensed by the state
Individuals who are gainfully
employment by that insurance
company
The law established insurance McCarren-Ferguson Act
transactions should be regulated by
the states is called the
McCarran-Ferguson Act
Mccain-Feingold act
Fair credit Reporting Act
Paul vs Virginia
In a group medical expense health Any other illness, sickness or disease
insurance plan, coverage for
alcoholism is treated as:
,A producer must notify the 30
Commissioner within ___ days of a
felony conviction.
15
30
45
60
The purpose of Medicare Medicare in-hospital deductible
Supplement Insurance is to address
gaps in Medicare coverage, which
can include?
Medicare in hospital deductible
replacing HMO coverage
Covering chiropractic treatment
Treatment provided in a government
hospital
in in New Jersey, health insurance Insurance company's name
advertisements are required to
contain the
Insurance company's trademark
Insurance company's name
Insurance company's AM Best rating
Insurance company's current
standing with the better business
Bureau
, States that have "no loss no gain" Pay for ongoing claims under the policy it replaces
laws require a replacing policy to....
Keep the same type if coverage as
the policy it replaces
Not change a different premium
from the policy if replaces
pay for half of any ongoing claims
under the policy it replaces
Pay for ongoing claims under the
policy it replaces
Which of the following is NOT a change of occupation
required provision in an accident and
health insurance policy?
Legal actions
grace period
Change of occupation
reinstatement
In group health care, what is the Determines what is paid by the primary and
purpose of the coordination of secondary insurers in the event of a claim
benefits provision?
Determines where as insured goes to
receive treatment
Determines what is paid by the
primary and secondary insurers in
the event of a claim
Ensures that a health provider
receives the proper benefit amount
owed
Determines which parent plan covers
a department child
